We are seeking an organized Medical Biller to manage the billing process for our pediatric and family medicine office. The successful candidate will be responsible for accurately processing and submitting medical claims, maintaining accurate records, and ensuring compliance with regulatory requirements.
The Certified Medical Coder is responsible for analyzing provider documentation to accurately select ICD-10 and CPT/HCPCS codes, ensuring compliance with coding guidelines, third-party reimbursement policies, and accreditation standards. This role involves performing coding duties for complex cases, including auditing, reporting, and collaborating with providers to address coding corrections and clarifications. The individual will distribute monthly audit reports, address any questions or concerns from providers, and offer training to staff on coding processes and requirements. Additionally, the role includes resolving discrepancies in coding, reviewing and correcting rejected claims from third-party carriers, and performing other coding duties as assigned by management to ensure accurate and timely submissions.
Job Duties:
- Accurately process and submit medical claims to insurance carriers, Medicare, and Medicaid
- Verify patient demographics and insurance information to ensure accurate billing
- Assign and manage ICD-10 and CPT codes for office visits
- Maintain accurate and up-to-date patient records, including billing and claims history
- Perform denial management and appeal process when necessary
- Collaborate with physicians and other healthcare professionals to resolve billing and clinical issues
- Meet productivity and performance standards, including billing accuracy and timely submissions
- Stay up-to-date with regulatory changes and updates in medical billing and coding
- Perform other duties as assigned by the Practice Manager or Owner
Qualifications:
- Proven experience in medical billing and collections
- Proficiency in CPT coding and ICD-10 coding
- Medical Coding Certification preferred
- Familiarity with EHR systems and <PERSON> systems
- Strong understanding of medical terminology and medical records management
- Excellent attention to detail and organizational skills
Job Type: Full-time, On-Site/In-Person (No Remote or Hybrid Options)
Pay Rate: $20.00 - $24.00 per hour
Proven experience in medical billing and collections Proficiency in CPT coding and ICD-10 coding Medical Coding Certification preferred Familiarity with EHR systems and <PERSON> systems Strong understanding of medical terminology and medical records management Excellent attention to detail and organizational skills
Location
New Jersey, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 year ago